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DR. KEVIN A MYSLIWIEC O.D.
NPI 1275539736
Optometrist in Jacksboro, TN

Active since June 21, 2005PECOS EnrolledAccepts Medicare Assignment
2523 JACKSBORO PIKE, JACKSBORO, TN 37757(423) 566-2020(423) 566-4245 Get Directions Write a Review

NPPES record last updated: December 3, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kevin A Mysliwiec O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KEVIN A MYSLIWIEC O.D. (NPI 1275539736) is an individual optometrist in Jacksboro, Tennessee, licensed in Tennessee (1843) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1275539736
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. KEVIN A MYSLIWIECCredential: O.D.
Location Address2523 JACKSBORO PIKEJacksboro, TN 37757-4847
Mailing AddressPo Box 306Ferguson, KY 42533-0306 · (606) 492-2211 · Fax (606) 676-0873
Phone(423) 566-2020
Fax(423) 566-4245
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateJune 21, 2005
Last NPPES UpdateDecember 3, 2019
✔ NPI 1275539736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in TN · 1843✔ Licensed in KY · 1429DT
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
2523 JACKSBORO PIKE, Jacksboro, TN 37757
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Secondary Practice Locations 2

Location 12523 Jacksboro PikeJacksboro, TN 37757 · Phone (423) 566-2020 · Fax (423) 566-4245
Location 216605 Alberta StOneida, TN 37841-6283 · Phone (423) 569-9339 · Fax (423) 569-1316

Other Identifiers 8

Other3090877; 3154561TN · Bcbstn/bluecare/tenncare
Other410036018Railroad Medicare For Jacksboro
Other410047039Railroad Medicare For Oneida
Medicaid3941364TN
Medicaid3941367TN
Medicaid77000156KY
Other01260522Amerigroup
Other410041149Railroad Medicare For Jellico

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kevin A Mysliwiec O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID547251175
PECOS Enrollment IDI20080227000584
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
61 services61 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
41 services34 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
30 services23 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
18 services18 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
16 services11 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
16 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37757 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%43 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
2 suppliers24 claims24 services$61.36 avg. paid by Medicare
Sphere, bifocal, plano to plus or minus 4.00d, per lens V2200
Other-Vision, Hearing, and Speech Services · category OC000N
2 suppliers13 claims22 services$38.67 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SANDY L MYSLIWIEC O.D.
Optometrist
2523 JACKSBORO PIKE
JACKSBORO, TN 37757
Campbell County (423) 566-2020
AMY MARIE COMBS O.D.
Optometrist
2523 JACKSBORO PIKE
JACKSBORO, TN 37757
Campbell County (423) 566-2020

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin Mysliwiec's NPI number?

The NPI number for Kevin Mysliwiec is 1275539736. It was assigned to this individual provider in the NPPES registry on June 21, 2005.

Where is Kevin Mysliwiec located?

Kevin Mysliwiec practices at 2523 Jacksboro Pike, Jacksboro, TN 37757. The listed phone number is (423) 566-2020.

What is Kevin Mysliwiec's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Kevin Mysliwiec enrolled in Medicare?

Yes. Kevin Mysliwiec is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kevin Mysliwiec accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and Blue Cross Blue Shield of Wyoming and 7 other insurers list Kevin Mysliwiec as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kevin Mysliwiec was last updated on December 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.